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In type 2 diabetes induced by cigarette smoking, activation of p38 MAPK is involved in pancreatic β-cell apoptosis.

Abstract
Type 2 diabetes (T2D) is a chronic disease caused by pancreatic β-cell dysfunction and insulin resistance. Exposure to smoke is a risk factor for diabetes; however, its mechanisms are unclear. In an epidemiological study, we determined the relationship between cigarette smoking and β-cell function. T2D patients had a history of heavier smoking than people without T2D, and heavy smokers had more abnormal glucose metabolism. For various smoking populations, there was a dose-effect relationship between decreases of homeostatic model assessment (HOMA)-β levels or the increases of HOMA-insulin resistance (IR) levels and amount of smoking (pack-years), which indicated that smoking induced β-cell dysfunction. For MIN6 cells, cigarette smoke extract (CSE) decreased insulin secretion and content; enhanced apoptosis, as illustrated by decreases of BCL-2 levels, increases of BAX and cleaved caspase-3 levels, and an increased apoptotic index; and activated the p38 MAPK pathway. For MIN6 cells, inhibition of p-p38 MAPK by SB203580 prevented enhanced apoptosis and the dysfunction of insulin secretion induced by CSE. In sum, activation of p38 MAPK is involved in the apoptosis of pancreatic β-cells induced by cigarette smoking, which is a possible mechanism for induction of T2D by cigarette smoke.
AuthorsHui Xu, Qiushi Wang, Qian Sun, Yu Qin, Aohan Han, Ye Cao, Qianlei Yang, Ping Yang, Jiachun Lu, Qizhan Liu, Quanyong Xiang
JournalEnvironmental science and pollution research international (Environ Sci Pollut Res Int) Vol. 25 Issue 10 Pg. 9817-9827 (Apr 2018) ISSN: 1614-7499 [Electronic] Germany
PMID29372523 (Publication Type: Journal Article)
Chemical References
  • Smoke
  • Cholestyramine Resin
  • p38 Mitogen-Activated Protein Kinases
Topics
  • Adult
  • Animals
  • Apoptosis (drug effects)
  • Cell Line, Tumor
  • Cholestyramine Resin
  • Cigarette Smoking (adverse effects)
  • Cross-Sectional Studies
  • Diabetes Mellitus, Type 2 (enzymology, etiology, pathology)
  • Humans
  • Insulin-Secreting Cells (drug effects, pathology)
  • Male
  • Mice
  • Smoke (adverse effects)
  • p38 Mitogen-Activated Protein Kinases (metabolism)

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